Active NPI
Sarah Marie Buckley
- Certified Registered Nurse Anesthetist
- Portsmouth, VA
National Provider Identifier
1730766650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024181724
- Practice address
- 620 John Paul Jones Cir
Portsmouth, VA 23708-2111 - Phone
- (757) 953-3238
- NPI assigned
- Mar 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024181724 | VA | Primary |
Addresses
Primary practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-3238
Other practice location 1
1060 First Colonial Rd
Virginia Beach, VA 23454-3002
Phone (175) 739-5800
Other practice location 2
830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 261-6000
Other practice location 3
134 Business Park Dr
Virginia Beach, VA 23462-6523
Phone (757) 473-0044
Other practice location 4
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (175) 738-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024181724 | VA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1730766650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-3238"
}
],
"practiceLocations": [
{
"address_1": "1060 First Colonial Rd",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234543002",
"country_code": "US",
"telephone_number": "175-739-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "830 Kempsville Rd",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235023920",
"country_code": "US",
"telephone_number": "757-261-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "134 Business Park Dr",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234626523",
"country_code": "US",
"telephone_number": "757-473-0044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Gresham Dr",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "175-738-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKLEY",
"first_name": "SARAH",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-26",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024181724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.